Screening Cholangiocarcinoma by ultrasound at Kham tale so hospital

Abstract

The objective of this research was to study cholangiocarcinoma surveillance by screening test to find the patients with the early stage of Kham Thale So Hospital and follow-up and evaluate the operation in solving and follow-up people’s health in the site of Kham Thale So Hospital during the fiscal years 2017-2019. Methodology:This is a retrospective descriptive study. The populations in the research are northeastern people aged ≥40 years old and their medical history indicates the infection of opisthorchisviverrini, consumption of raw or semi-raw river fishes. The tools included the ultrasound screening test. The data were collected from the Demographic Information Form: Enrollmentand Ultrasound Form. Based on the research using the ultrasound screening test with 594 participants, people are 50-59 years old or 44.64%. Female are 81.96% and have elementary education or 62.73%. Work in the agricultural field or 64% and they have never had the screening test for the eggs of Liver fluke or 91.99%. Have never been tested to find Liver fluke or 92.1% and have never treated with the anti-liver fluke or 95.83%. Their relatives mostly haven’t cholangiocarcinoma or 96%. The relatives who have cholangiocarcinoma are the first generation who are parents and siblings or 1.2 & and 1.13%, respectively. Have never smoke or 93.03% and never drunk alcohol or 76.23%. The patients have no alcoholism or 99.46% and have consumed river fishes with raw or semi-raw scales or raw fermented fish or 93.53%. Most of them have no chronic disease or 79.94%. Diabetes is mostly found or 10.26%. Most of the participants have the ultrasound result and found suspected CCA from 0% to 6.17% and 0.32% in 2019. The next appointment with the doctor means to follow-up the symptom or 82.98% and they were transferred to Maharaj Hospital due to Suspected CCA from 0% to 6.2% and 0.4%. After the transfer to Maharaj Hospital, there is the case that used CT scan but found no cholangiocarcinoma. Conclusion Not found cholangiocarcinoma in 3 year ago for screening Recommendation Not found cholangiocarcinoma for screening because minimal population also increase population for can found cholangiocarcinoma and manage screening routine work